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1194457044
MATTINGLY BOXDORFER DENTAL
PERRYVILLE, MO
NPI
1194457044
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Entity Type
Organization
Authorized Contact
KEVIN MARK MATTINGLY
Owner/Dentist
573-547-6691
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-06-29
Last Update Date
2022-07-05
Business Address
MATTINGLY BOXDORFER DENTAL
22 S WEST ST
PERRYVILLE, MO 63775-2547
Phone number: 573-547-6691
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Mailing Address
MATTINGLY BOXDORFER DENTAL
22 S WEST ST
PERRYVILLE, MO 63775-2547
Phone number: 573-547-6691
Copy
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